| NPI | 1942734199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 219534) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 121598) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2018-06-08 |